Provider Demographics
NPI:1497111215
Name:DUFRENE, ROXANE L (LPC-S)
Entity Type:Individual
Prefix:DR
First Name:ROXANE
Middle Name:L
Last Name:DUFRENE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:DR
Other - First Name:ROXANE
Other - Middle Name:L
Other - Last Name:DUFRENE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:509 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3817
Mailing Address - Country:US
Mailing Address - Phone:504-256-5592
Mailing Address - Fax:
Practice Address - Street 1:7611 MAPLE ST.
Practice Address - Street 2:SUITE B1
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-6021
Practice Address - Country:US
Practice Address - Phone:504-669-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-08
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2110101YM0800X
LA721106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist